Member Application / Renewal

Application Type

This application is for: (Required)

New Membership
Membership Renewal

Your Contact Info

First Name or Initial: (Required)

John

Middle Name(s) or Initial(s):

Last Name: (Required)

Public

Suffix:

e.g., Jr or PhD

E-mail: (Required)

jqpublic@microbeam.state.edu

Affiliation:

State University

Department:

Department of Microbeam Analysis

Mailing Address - 1: (Required)

Science and Engineering Building

Mailing Address - 2:

1 Quantitative Road

City: (Required)

Anytown

State:

Zip Code: (Required)

01234-5678

Country: (Required)

USA

Primary Telephone: (Required)

+1 234 567 8901

Alternative Telephone:

+1 987 654 3210

Fax:

+1 234 567 8900

Membership in Affiliated Societies

I am a member of the Microscopy Society of America (MSA): (Required)

No
Yes

I am a member of an MAS Affiliated Regional Society (AReS): (Required)

No
Yes

If so, AReS name (abbreviated):

StateMAS

Special Requests

The MAS makes a subset of its members names and addresses available as mailing labels to its Sustaining Members. You may opt out of being included.

Include my address on the mailing labels:

No
Yes

Membership Dues, Services, Charitable Donations, and Payment

The selections below will permit you to specify your membership category, whether you would like to purchase a subscription to Microscopy and Microanalysis, the society journal, and whether you would like to make a tax-deductible donation to one of the MAS charitable funds. All denominations are in US$.

My application / renewal is for membership type: (Required)

Note: Honorary and emeritus membership conferred only by vote of MAS council.

I would like to purchase a subscription to Microscopy and Microanalysis, the society journal:

MSA members already receive a subscription to M&M through their MSA dues. Student members are eligible to receive a complimentary subscription and will be contacted separately.

I would like to make a tax-deductible contribution to the Chodos Fund:

The Chodos Fund supports student activities within MAS. Funds are allocated at the discretion of MAS Council.

I would like to make a tax-deductible contribution to the Fiori Fund:

The Fiori Fund supports technologist-oriented programming within MAS. Funds are allocated at the discretion of MAS Council.

I would like to pay for the following number of years: (Required)

Choosing to pay for more than one year will simply multiply BOTH dues and journal subscription by the chosen multiple, so that you will not need to go through the renewal process through the years paid. Donations to the Chodos and Fiori Funds are NOT multiplied; the amount of your donation is as indicated above.

I will submit payment via: (Required)

If you select "PayPal / Credit Card," you will be transferred to a secure checkout location to enter credit card information; please print the PayPal record as your receipt for tax purposes and record keeping. If you select "Personal Check," an address to send the check will be provided; a receipt will automatically be sent to you.

PayPal / Credit Card (preferred)
Personal Check

Member Feedback

I would like to bring the following comments to the attention of MAS Council:

Captcha challenge (Required)

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